{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:40:37Z","timestamp":1786653637931,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Foreign body aspiration, particularly in the lower airway, presents unique challenges for anaesthesiologists, especially when dislodgement occurs during surgical manipulation. We report the case of a 21-year-old male who presented with an iron nail lodged in the left lower lobe of the lung, with a history of failed removal using flexible and rigid bronchoscopy. After unsuccessful attempts, the patient underwent left thoracotomy for foreign body retrieval. During the procedure, the foreign body dislodged into the tracheal wall through the Murphy eye of the endotracheal tube. A multimodal approach involving fiber-optic bronchoscopy and bronchotomy ultimately led to successful retrieval. The anesthetic strategy involved maintaining spontaneous ventilation and total intravenous anesthesia (TIVA). This case highlights the importance of coordinated management between anesthetic and surgical teams in handling complex foreign body retrievals.<\/jats:p>","DOI":"10.4103\/aca.aca_41_25","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T16:00:09Z","timestamp":1768579209000},"page":"110-113","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Navigating Intraoperative Dislodgement: Anaesthetic Management in Foreign Body Retrieval with Bronchotomy and Fibre-optic Bronchoscopy"],"prefix":"10.4103","volume":"29","author":[{"given":"Janani","family":"Kannan","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chitra Rajeswari","family":"Thangaswamy","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raja","family":"Subramaniyan","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"R1-20260331","doi-asserted-by":"crossref","first-page":"47","DOI":"10.4236\/ojts.2021.112007","article-title":"Bronchotomy as a safe and feasible alternative to failed bronchoscopic removal of foreign body inhalation in pediatrics. A seven-year review","volume":"11","author":"Elaziz","year":"2021","journal-title":"Open J Thorac Surg"},{"key":"R2-20260331","doi-asserted-by":"crossref","first-page":"102549","DOI":"10.1016\/j.epsc.2022.102549","article-title":"Bronchotomy for metal foreign object removal in pediatric airway","volume":"89","author":"Mar\u00edn","year":"2023","journal-title":"J Pediatr Surg Case Rep"},{"key":"R3-20260331","first-page":"157","article-title":"Fluoroscopy-guided metallic foreign body removal: A case report","volume":"8","author":"Yadav","year":"2024","journal-title":"Indian J Immunol Respir Med"},{"key":"R4-20260331","doi-asserted-by":"crossref","first-page":"e917608","DOI":"10.12659\/AJCR.917608","article-title":"Distal airway aspirated metallic foreign body, case report of spontaneous expectoration","volume":"21","author":"Al Maary","year":"2020","journal-title":"Am J Case Rep"},{"key":"R5-20260331","first-page":"506","article-title":"Inhaled foreign bodies in children\u2013anaesthetic considerations","volume":"41","author":"Tan","year":"2000","journal-title":"Singapore Med J"},{"issue":"Suppl 1","key":"R6-20260331","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1111\/j.1460-9592.2009.03006.x","article-title":"Pediatric airway foreign body retrieval: Surgical and anesthetic perspectives","volume":"19","author":"Zur","year":"2009","journal-title":"Paediatr Anaesth"},{"key":"R7-20260331","first-page":"333","article-title":"Controlled vs spontaneous ventilation for bronchoscopy in children with tracheobronchial foreign body","volume":"29","author":"Mashhadi","year":"2017","journal-title":"Iran J Otorhinolaryngol"},{"key":"R8-20260331","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1097\/00000539-200012000-00015","article-title":"Anesthesia for tracheal or bronchial foreign body removal in children: An analysis of ninety-four cases","volume":"91","author":"Litman","year":"2000","journal-title":"Anesth Analg"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_41_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:40:21Z","timestamp":1786650021000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_41_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_41_25","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-02-14","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}